@layout("/common/_form.html",{js:["/assets/modular/system/btyWlCheliang/add.js"]}){
<style>
    .layui-form-label {
        float: left;
         display: block;
         padding: 0px 0px;
        width: 90px;
        font-weight: 400;
        line-height: 44px;
        text-align: right;
    }
</style>
<form class="layui-form" id="noticeForm" lay-filter="noticeForm">
    <div class="layui-fluid" style="padding-bottom: 75px;">
        <div class="layui-card">
            <div class="layui-card-header"></div>
            <div class="layui-card-body">
                <div class="layui-form-item layui-row">

                    <div class="layui-inline layui-col-md6" style="margin-top: -30px">

                        <div class="layui-form-item">
                            <label class="layui-form-label">负责人<span style="color: red;">*</span></label>
                            <div class="layui-input-block">
                                <input name="fzr" placeholder="请输入负责人"
                                       lay-verify="required" required class="layui-input" autocomplete="off">
                            </div>
                        </div>
                        <div class="layui-form-item">
                            <label class="layui-form-label">负责人手机号<span style="color: red;">*</span></label>
                            <div class="layui-input-block">
                                <input name="phone" placeholder="请输入负责人手机号"
                                       lay-verify="required" required class="layui-input" autocomplete="off">
                            </div>
                        </div>
                    <div class="layui-form-item">
                        <label class="layui-form-label">车号<span style="color: red;">*</span></label>
                        <div class="layui-input-block">
                            <input name="chehao" placeholder="请输入车号"
                                   lay-verify="required" required class="layui-input" autocomplete="off">
                        </div>
                    </div>

                    <div class="layui-form-item">
                        <label class="layui-form-label">司机<span style="color: red;">*</span></label>
                        <div class="layui-input-block">
                            <input name="siji" placeholder="请输入司机" class="layui-input"
                                   lay-verify="required" required class="layui-input" autocomplete="off">
                        </div>
                    </div>


                    <div class="layui-form-item" style="height: 30px">
                        <label class="layui-form-label">手机号<span style="color: red;">*</span></label>
                        <div class="layui-input-block">
                            <input name="shoujihao" placeholder="请输入手机号" class="layui-input"
                                   lay-verify="required" required class="layui-input" autocomplete="off">
                        </div>
                    </div>

                    <div class="layui-form-item" >
                        <label class="layui-form-label label-title">备注</label>
                        <div class="layui-input-block label-block">
                            <input name="beizhu" class="layui-input" type="text"
                                   placeholder="请输入备注" autocomplete="off"/>
                        </div>
                    </div>

                </div>
            </div>
        </div>
        <div class="form-group-bottom text-center">
            <button class="layui-btn" lay-filter="btnSubmit" lay-submit>&emsp;提交&emsp;</button>
            <button type="reset" class="layui-btn layui-btn-primary" ew-event="closeDialog">&emsp;取消&emsp;</button>
        </div>
    </div>
</form>

@}
